Your Name:


Your street address:

Line 2:

City:

State/Province:

Postal Code:

e-mail address:

Telephone numbers:
(home)      (work)
Fax number:

Occupation:

Sailing Clubs:

Own a boat:
Yes No
If yes:
Make:      
Model:      
Name: 

Individual Member Benefits:

Discounted prices on events and logo items.
Advanced notice of all workshops, seminars and other projects. 
Vendor discounts  
Crew Connection.  
Take the Helm® Newsletter  


Membership prices are for one year. Please check membership level:

Individual $45  

Household (two residing at same address) $80
  
Associate $100  Also receive 8 x 10 certificate,      NWSA logo hat.

Silver Patron $250.   Also receive framed certificate, NWSA logo hat, NWSA silver pin.

Gold Patron $500  Also receive framed certificate, NWSA logo hat, NWSA gold pin.

Platinum $1,000  Also receive framed certificate, NWSA logo hat, NWSA gold pin, NWSA polo or denim shirt and  will have profile in newsletter

Additional Donation for AdventureSail® through the Women's Sailing Foundation and tax deductible

Enclosed is a check (payable to NWSA) in the amount of
$

Credit Card (Mastercard & Visa Only):

Name on Card
Card Number
Expiration Date
Company Name if any